Pulse (2017) s01e05 Episode Script

1 Lou.
Oh, my God, I have told you before.
We can't have dogs in the house.
The lease says no dogs.
It's my fault.
It's a patient's.
And it's either here or the pound.
No! We can't keep this dog.
With chemo and radio, two years plus.
And will I still be able to talk? 15% to 20% chance you'll lose some speech and/or cognition.
Piss off.
I have a couple of rules, and one of them is that you can't drive.
You'll never come to work again with a temperature higher than 38.
2.
- 38.
8.
- Actually, 38.
Fine.
STEELE: Well, we all have to pay our dues.
Not all of us, apparently.
My chances of specialising in renal are evaporating.
Get off your arse and fight for it.
I want you to oversee the root cause analysis into Zoe Mendosa's death.
And if I don't accept? Well So, Mitri screws up and you promote him because I'M the loose cannon? The decision has not been made yet.
Lou, we need to talk.
It's about Frankie Bell.
You know Frankie and I are friends.
Oh, that's what this is about.
You're trying to fucking screw me into silence? - No, you're reading me all wrong.
- Am I? I didn't miss a stitch.
I feel sick.
(FIRMLY) I didn't miss a stitch.
You're hurting me.
You're hurting (WHIMPERS) (SIREN WAILS) Open my lungs Move your hands Inside my chest Cut me deep Beneath my skin I'm ready to fall out My body's caving in Hold me down So that I can feel the heat Carve me with your sharpest knife I'm ready for the pain Oh-oh oh-oh-oh, oh-oh-oh-oh.
(MONITOR BEEPS) (SHAKY BREATHING) (FRANKIE PANTS) (FLATLINE BEEP) (GASPS) (COUGHS) (THERMOMETER BEEPS) (THERMOMETER BEEPS) Oh, shit.
Frankie? Are you okay? Yeah.
I'm fine.
Sorry.
Go back to bed.
You cried out.
I dreamed that I was trying to save Zoe, but it was, um I wish you'd said no to the RCA.
Rowan What? I have to get back to sleep.
Jesus! Lou! Did he do that? I would tell you but I don't know what you'll do with anything I have to say.
BERGER: Some days it takes fortitude just to get out of bed.
Others just sing by.
Today is a good day.
They've chosen your research for an oral presentation.
You're gonna be presenting to the biggest names in nephrology.
(LAUGHS) Oh, my God, that's That's wonderful.
- Did you? - No, no, it's all your own merit.
Now, let's have a look at your labs.
Your white blood cell count is up a bit.
How are you feeling? I'm stressed, about you.
When you can't do anything, Fifi, there's no point in stressing.
Getting a second opinion on the tumour might be a good idea.
How's the RCA into Zoe's death going? Fifi is the name of your daughter's dog.
Your point being? You just called me Fifi.
(LAUGHS) I couldn't couldn't find the word for 'elephant' last night.
I was The tumour's still in the temporal front lobe.
Speech centre is clear.
Well, it seems clear.
You're mixing words more.
(PAGER BEEPS) Get a second opinion, please.
Just let me enjoy this moment, Frankie.
It's your moment.
I want to see you shine.
Yeah? (INDISTINCT PA ANNOUNCEMENT) I heard your good news.
You got an oral presentation.
You're a star.
Thank you.
Meanwhile, you're my resident, so if it's not beneath you, I need you to admit a patient.
WOMAN: It just came out of the blue, Margot had completed the swimming and she was coming up the beach heading for her bike and she just collapsed, she couldn't breathe.
Margot had a deceased donor kidney transplant 10 years ago.
Her creatinine's been stable.
She's had no episodes of rejection.
She came second at the Transplant Games.
What's happening? Why is her breathing weird? Get them out of the house.
They shouldn't be here.
Get 'em out.
She's febrile.
How long has she had a temperature? She has a temperature? Honey, I'm here for you.
Her temp's 40.
3.
Her O2 sats are terrible, 83%.
I think she needs high-flow oxygen now.
So, if you're right and it is PCP, how would you treat it? - IV antibiotics.
- Which ones? - Trimethoprim sulphate? - Correct.
And what would you be telling other transplant patients? Stay the hell away.
Exactly.
Excuse me.
Dr Kalchuri? This patient needs to be isolated and put on IV trimethoprim sulphate.
Tell the NUM to get an isolation room ready.
And get an ICU review.
Just get her off the wards.
Is it is it contagious? That depends.
Are you next of kin? Yes.
I'm Margot's partner.
We think Margot has PCP.
It's an opportunistic infection that affects people whose immune systems don't work well.
Healthy people are not affected.
Okay.
Thank you.
- ELI: So, it's PCP? - Second case this month.
And have you got any in cardiothoracic? Yeah.
Fisherman, 49, spent last night in ICU.
Now he's in the morgue.
Can you get onto the labs and get them to fast-track the sputum samples? And ask for lung biopsies.
We need to find out if there's any connection between these infected patients and if there's any other patients in other departments.
Yes, boss.
Stay away from this.
PCP is a life-threatening lung infection.
It is extremely difficult to diagnose.
Only a sputum test or lung biopsy can diagnose it.
A PCP patient was admitted this morning who had recently returned from the Transplant Games.
BERGER: Seven people in this hospital have contracted PCP to date, three of whom have died.
Our job is to find patient zero and to track anyone who came in contact with them.
HIV patients, cancer patients on chemotherapy, and transplant recipients are the most vulnerable.
We have an outbreak.
STEELE: Well, let me introduce you to our infection control team.
They'll be handling HIV patients at oncology.
Dr Nader, heart and lungs, and renal with Dr Tanya Kalchuri.
Er, no, I'm sorry.
No, I-I need Kalchuri on the wards.
Dr Bell can handle the investigation.
- If Tanya wants it - It's not up for discussion.
STEELE: Okay, we'll give it to Bell.
Thank you, everyone.
BERGER: One tablet, three times a day.
Any symptoms? None that I'm aware of.
'Cause your bloods suggest you have an infection.
Let's send off some sputum and, er, do a chest X-ray.
And while this is on, we can't have you working on the wards.
I'll take this, I'll do the tests, I will take every precaution.
No ward work.
Admin will freak and Tanya clearly wants to do this investigation.
I don't give a damn! Just do this for me, Frankie.
Live long.
Reach 100 not out.
Don't look at me like that.
I may not reach a century.
It's up to you.
When I'm proven clear, I want back on the wards.
He won't let us swap.
I don't want to argue, Tanya.
You know I want a renal advance training position.
The interviews are in six months.
I need to look good.
You are my reg.
I need you on the wards.
Let me investigate the PCP cases.
I'll write the outbreak up as research.
Please? Not this time, kiddo.
MITRI: You're late for rounds.
We're waiting, Tannis.
The history.
Er, River Kadel is a 15-year-old boy just sent up from ED with pleuritic chest pain caused by trauma to the chest.
MITRI: Okay, River, how did this happen? (WHISPERS) Skateboard.
Lift your T-shirt.
Dr Tannis? The exam.
Okay, this is gonna feel a little bit uncomfortable.
Just swallow for me.
Er, the trachea's not displaced but there is asymmetry in the chest.
(RIVER PANTS) Does that sound dull to you, Dr Mitri? All right, deep breath in.
What is it? MITRI: River has a pneumothorax, a partially collapsed lung.
The pain is caused by trapped air.
He needs a needle decompression, then a chest X-ray and ECG.
You want me to do a needle decompression? Unless you want to do it with your finger.
(OTHERS CHUCKLE) - I haven't done one.
- Then it's time you did.
Get the trapped air out ASAP.
Could be causing a right heart strain.
Can we have a private word? What is it? - Speak up.
- You're punishing me.
What? Is this because of the other night? (LAUGHS) We've all been in a position where we've had too much to drink.
And I'm not punishing you for it.
Organise River's decompression, Dr Tannis.
The rest of you, to the theatre.
What's all this stuff say, then? You have heart palpitations.
An arrhythmia.
Also decreased urine output.
The ECG's abnormal, but the angiogram ruled out any obstruction of the coronary arteries.
Do you have any idea what it is? There's pathological changes in the ST segment unrelated to atherosclerosis.
- Angina? - No.
Pericarditis? Stop guessing now.
I don't know what it is either.
The good news, Kevin, is you don't need an operation.
(SIGHS) Phew! I'm a pilot.
A heart operation would leave me without a job.
With four kids and two wives who feel entitled to live in style, I need to stay in the air.
Maybe it's stress.
Stress wouldn't cause diffuse ST segment elevation.
Patel, organise an echocardiogram.
And tell the NUM to move him ASAP.
I need to free this room up.
WOMAN: She's barely conscious.
FRANKIE: Did Margot have a cough or fever before she went to the games? Yeah, she had, like, a dry kind of a cough.
I just thought it was a cold.
Why? Just I'm trying to track the infection to find out where she may have crossed paths with other patients.
- Does she have a diary? - Er, yeah.
Electronic.
She's really organised.
WOMAN: Just through here? You can't go in there, Shirin.
She's my sister.
You can't stop me.
No, she's my partner, and I can.
That's bullshit! I'm going in.
- No, you're not! - Hey! Excuse me! Hello! Whoa.
Whoa! Just God, wait until the doctor has finished.
And then if you go in, remember that Margot is really ill, so put her needs first.
Yeah? Is Margot going to survive? It's early days.
Bad news? MITRI: Hand me the titanium.
Not now, Tannis.
River Kadel's X-ray indicates pleuropulmonary blastoma.
How do you want me to deal with it? - Have you done the decompression? - Not yet.
Then do it, as I told you.
But I haven't done one before.
Here's your chance.
Takes balls to be a surgeon, Tannis.
My advice, fix the lung while they're calm, then give them the news.
Hand me the five.
Mitri's doing this to prove a point.
What do you mean? What, unsupervised? No instructions? He's punishing me.
For what? The RCA? Something else? Lou.
He offered me a lift home.
Things got things got messy.
Messy? How? He grabbed me.
Well, he let me go, and I got out of the car.
God.
He's my boss.
He's going to annihilate me.
- His eyes are so cold.
- Report him.
That would be an act of career suicide.
- ELI: Frankie.
- God We've got two more PCP positives.
What? Um, okay, I'll get their patient histories and find out where they've been in here.
Do you know if they've had any contact with known PCP patients? That they're aware of? No.
Okay, Lou has to do a needle decompression on a pneumothorax and it's her first one, so she needs help.
ELI: All right, mate, now you are gonna feel this going in.
It's going to be kind of unpleasant, but you're gonna be all right.
Okay.
Nice and easy.
You're doing very good.
All right, here, let me help you with that.
(PULLS TAPE) You okay? Doing great.
Nearly there, mate, nearly there.
All right, we're good.
All right, River, I want you to breathe in, hold your breath just while Dr Tannis pulls out the air, okay? Go.
Okay, now slowly out.
And slowly, slowly breathe in again.
(COUGHS) - (LAUGHS) - You feeling better? Yeah, thanks.
That's great.
That's it? We can go? Listen, unfortunately something came up on the X-rays that we weren't expecting.
Um See that see that white patch? That's a cyst-like growth.
Do you know if there's pleuropulmonary blastoma in your family? Er, what is that? Um, it's a childhood cancer linked to a gene that travels in families.
My father had cancer.
Okay, you don't get to frighten my son without talking with me first.
Listen, I appreciate how upsetting this is.
No, you don't.
Excuse me, ma'am, has River been sick over the last year? Er, he was diagnosed with adrenal exhaustion six months ago due to his father's illness.
Who told him he had adrenal exhaustion? I guess it wasn't a doctor.
Er, Mr McKay is a natural therapist.
There is no such disease.
It's not cancer.
Listen, let's do a biopsy, see what we're dealing with, then we can discuss how to deal with it.
Okay, thank you.
No, you don't get to touch my son until I've taken him to see Mr McKay.
- Mum! - Listen Dr Tannis, a word, please.
Give her a moment.
She needs to understand what just happened.
It will dawn on her that the man she thought was healing her son may just have cost him his life.
She'll be more compliant.
Compliant? Is that a good thing? If it gets her to sign the consent forms, then it is.
Margot's not responding to the drugs.
Is she allergic to sulphur? No, just olives.
WOMAN: The correct answer is yes.
We went to India, Margot got sick and the doctor gave her sulphide.
She got a rash and then her toenails dropped off.
If she's allergic, does that mean that you have to stop the drugs? We'll look at alternatives, but Can I come in? It's Alicia's call.
(COUGHS) I need to get a statement from you.
For the RCA into Zoe Mendosa's death.
(STOPS RECORDING) I'm not gonna help you go after Mitri.
You're a second year.
You barely understand the unwritten rules here.
RCAs don't target individuals.
If you believe that, you ARE naive.
You have, um, worked with him a lot in private surgery, haven't you? Yeah.
So I know how good he is.
His stats are the best.
Mitri rarely makes a mistake.
- So he's made other mistakes? - We all make mistakes.
And we depend on each other for support when we do.
What does support look like in this case? Silence? Cutter's going after Mitri because she wants head of surgery.
That's not true.
(LAUGHS) You want my statement? During the operation, the music was up.
I didn't hear a thing.
What makes you think that it was something that you might have heard? You won't win any friends going after Mitri.
We all need friends, Frankie.
(INDISTINCT PA ANNOUNCEMENT) KEVIN: Why was I moved? Your bed was needed for someone with an infection.
If that man has the bird flu, I don't want him near my son.
It's okay.
Neither patient are at risk, and no one has the bird flu, okay? Kevin, I just need to talk about your chest X-ray.
It reveals an enlarged heart, which we need to explore.
Okay, so I've got a big heart.
What's the problem? What can I do? It's not good news.
Only two bad things can happen to a pilot.
One day you walk out to the aircraft knowing it's your last flight or one day you walk out to the aircraft not knowing it's your last flight.
(LAUGHS) Have you been drinking? Oh! If I went to the pub in this, they'd arrest me.
Have any visitors today? A cargo pilot just back from Moscow.
Bring you anything? Caspian caviar.
Hmm.
And some vodka to wash it down with.
- You drank this much in a day? - Got a taste for it.
But never before flying.
'Cause, you know, it's against the rules.
Yeah, sure.
Look, I'm gonna have to put this somewhere safe.
But first I need a blood sample, okay? (GASPS) I'm just joshing.
You can take it all.
My blood and my big, big heart.
- (PHONE RINGS) - (WOMAN COUGHS) Nora.
Back so soon? It's the gourmet food, Professor.
And the fabulous five-star service.
How's the nursing home, Nora? Beige.
What's Nora doing in the corridor? She has PCP.
There are no more isolation rooms.
What's wrong with the fourth floor? Plastics don't want PCP on their floor either.
Nora has been my patient for 16 years.
I want to see her properly looked after.
We're upgrading you, madam, to the royal suite.
However, at first sight, it might look like just any other hospital ward.
You always know how to make an old girl feel special.
There's no plastic surgery today.
Fight it out with Plastics.
FRANKIE: Hi, Nora.
Shawn told me you're looking after my little Holly.
She still humping cushions? Only when she feels affectionate.
Frankie.
Nora shared a room with Mrs Diallo.
The dead Mrs Diallo.
The window of opportunity has to be those two weeks.
Mm-hm.
Trace Nora's every move.
Every room she was in, who she chatted to.
She gave Shawn her dog before his transplant.
Pre-transplant, probably safe but alert him.
Okay, possession is nine-tenths of the law.
Come on, Tabb, chocks away.
We're taking over Plastics.
TABB: So, that's Holly and me.
And this one is Dr Holly.
(LAUGHS) Could you bring her in? (CLEARS THROAT) Um, it's against hospital rules.
(THERMOMETER BEEPS) Please.
Please? (SIGHS) 40.
4.
TANYA: I hear my father's invited you over for dinner.
Yes.
You know I'm 28.
He's looking for a husband.
First he wanted a Brahman, then it was a Maharashtrian, then it was a Hindu Punjabi.
Now it's just any Indian.
Oh.
Thanks.
You do know I'm gay, right? Yeah.
So? Do your parents know? No.
Doesn't have to be an obstacle.
(INDIAN ACCENT) You could take the pressure off both of us.
(CLICKS TONGUE) (COUGHS) Our fisherman who came in for a check-up was on a different floor, but there is a crossover of dates with Nora.
Frankie, you listening? Is the air conditioner on? Yeah, it's bloody freezing.
Hey, you have a temperature? - You look flushed.
- Must be your company.
(CLEARS THROAT) Pet rock? It's, er it's not a pet.
Is it from when you grew up? Something like that.
Any updates? Yes, we've got five new positives all linked to that Zurich strain.
Er, our HIV patient didn't make it.
He's in the morgue with the fisherman.
There are crossover times.
So far, apart from Nora and Ms Diallo, there's no crossover locations.
Well, keep looking, team.
Your sputum came back clear.
- (DOG BARKS) - (PRETENDS TO COUGH) - (DOG WHIMPERS SOFTLY) - (SIGHS) The first day I got her, she cried all night.
But she was the pick of the litter.
(DOG WHINES) Am I gonna get through this? You've been through worse, Nora.
But you should prepare yourself, just in case.
Thank you.
ELI: Okay, so, we focus on the outpatients.
Dates, times, where they entered the hospital, where they go, who they see.
Cafe, the restrooms Staff.
What? What were you just thinking? We're alone and they're waiting for us to leave.
And what are we even doing here? I was hungry, just The only place that's open.
Eat up.
I can't.
I'm too tired.
You may have to carry me home.
Stay with me.
If you want.
That's an unexpected invitation.
Liar.
The short answer is, it's complicated.
Well, that sounds like a no.
What's the long answer? That you're a beautiful woman.
You have a smile that's Oh, it's luminous.
But I just sense that behind that smile is something a little broken.
Nah, I'm just I'm sorry that I asked.
You are too intense, Eli.
I just want happy.
Okay.
I wish I could give you happy.
You're hot.
Thanks.
No, no, no.
You're hot.
Oh, jeez I'm going home.
Why don't you come with me? (PAGER BEEPS) Or not.
There's a PCP patient in trouble.
(SIGHS) TABB: Too late.
- Have you called the time? - Yeah.
The paperwork's done too.
She asked me to turn down the lights.
Said it was too bright.
What do you think she saw? Whatever you want to believe, Patel.
Take your mutt and get out.
The biopsy confirms your son has pleuropulmonary blastoma.
Oh! It's the the power lines behind the house on the hill.
The cancer is so high in this.
Oh, God, I can't.
Oh, I can't go through this again.
It's in one lung.
It's contained.
Renee, the surgeons here are superb.
- Is it linked to his father's cancer? - No.
But you can't tell me that father and son get cancer in the one year and it's not linked.
Childhood blastoma does travel in families, but your husband had pancreatic cancer.
Oh, this isn't fair.
Renee, there's an opening in surgery.
I'll get one of the surgeons to come down here and explain the procedure.
Here is the consent form, you need to sign it with River.
In the meantime, we have to tell River about - RIVER: Tell me what? - Nothing.
(SNIFFLES) There's blastoma in your upper right lung and we're talking about how to deal with it.
- The best option, River, is surgery.
- No! No.
My son is not going under your knife.
LOU: His mother wants all the results and records of the tests.
They belong to the hospital.
I mean, she's entitled to the information, but her doctor has to ask for it.
What's this man giving her that we're not? Hope.
She's not giving him a chance to think through the options.
He's 15.
If he doesn't have this operation, he's dead in a year.
Okay, well, 15 is a grey area.
Legally.
You come in here with a skateboard injury and find out it's cancer.
But you could see it as a lucky break.
(SARCASTICALLY) I'm so lucky.
You know what it is.
So you have a chance to change things.
And this might come down to you and how you choose to deal with it.
I didn't choose to get cancer.
I get it.
And you're 15 and everyone's telling you what to do, no one's asking you.
And you got a really crappy hand.
Just don't let it be the last hand that you play.
Let Lou help you decide what's best for you.
LOU: First up, we need to get this cancer out.
'Cause while we don't, it's growing.
But you need to sign for consent.
For the operation.
Mum's against it.
What if you didn't need your mother's permission? She lost my dad, so I totally understand.
She loves you and she's afraid, and you love her.
So you're going along with whatever she wants to make her happy.
But, River, if you get really sick, she won't be happy.
And then that might be too late for us to help you.
So, you might have to be the strong one.
Legally, you are allowed to make your own decision.
McKay said he can make it go away without the operation.
What if he can't? At least talk to the surgeon about it.
River, tell me what you want and I will fight for you.
I don't want this.
(COUGHS) (CLEARS THROAT) I've spoken to McKay.
We're gonna start with ashwagandha and graviola, then we hit beast heart with vitamin C and B5.
River's signed for consent.
If you agree, we'll set up the operation.
Put your clothes on, we're leaving.
You'll have to sign the discharge papers and that might take a while.
You can't let this happen.
I know you don't want to, but you have to go get Mitri.
(GASPS) I'm about to do a bypass.
Whatever it is, it has to wait.
Dr Cutter, I need your help.
It's not a crime to ask for help, Lou.
Sometimes it's a crime not to.
How long ago did you get the diagnosis on River's adrenal exhaustion? Six months.
Well, that's six months the cancer's had to grow.
McKay missed it.
Just don't mistake kind intentions for scientific knowledge.
Look, I'm sure your natural therapist, I'm sure he spends time with you and is empathetic.
And in a hospital this size it can all seem impersonal.
But, you see, I won't give you false hope, not like your I don't think it's false hope.
Vitamin C will not save your son.
Nor will health powders at $300 a pop.
All right? But with surgery, we have a chance.
Now, I'm sorry we couldn't save your husband, but neither could Mr Empathy.
What's he gonna do? All he's gonna do is make you feel, what, like you're doing something? But in the end, you will bury your son.
You do not speak to me like that.
Now, we have two options.
We give River chemo, let the cancer shrink, and then we cut it out.
Or we cut it out first, and then use chemo to eradicate any of the cells that may be floating around.
River what do you think? Cut it out.
(SIGHS) - I'm calling Berger.
- No, no, no, no.
No.
No.
My sputum came back negative.
I just need a flu tablet.
Frankie, this is nuts.
If you if you were more open There's us and then there's them.
Doctors are us.
We're strong and healthy, and the patients the patients are them.
They're sick and needy.
I can't be seen as one of them.
ELI: Does Frankie look feverish to you? (BEEPING) 40.
6.
I have to admit you.
You need IV antibiotics immediately.
The sputum was clear.
No test is perfect.
Could you please just give me a few hours until I present the paper? Tanya Kalchuri can read it for you.
And you can hand over your share of the investigation to Eli Nader.
You're overreacting.
How long have you had a fever over 40 degrees? We had an agreement.
And you've got a shadow on your right diaphragm.
- It's not PCP.
- You've got pneumonia.
At 42 degrees your organs will suffer damage that may well be irreparable.
I am close to solving the PCP.
Yeah? It's a puzzle and I know the missing piece.
It just just has to click into focus.
I don't give a shit what you're working on.
You're not indispensable.
I'll home hospital.
I'll work from there and I'll come back when the fever's No.
What, you're not gonna take my advice? Then I'm gonna have to rethink our therapeutic relationship.
She's looking good.
The fever's down.
Margot's responding.
She's one of the lucky few.
Tanya, I need to ask you a favour.
If you'll read my paper to the nephrologists tonight.
You you want me to read your paper? Yeah.
But why? Ah, I just have to take tonight off.
- You're sick? - No, no, it's family shit.
Sure, Frankie.
Email it to me.
I'll do my best.
I know that you wouldn't give this up if it wasn't serious.
Thanks.
Where have you hidden me? I'm hiding you in Plastics as Patient X.
No one will find out.
Your hands inside my chest I've pulled myself deep beneath my skin I've been running into walls Trying to keep myself from falling down Oh-oh Oh-oh Ooh, ooh, ooh-oh-ooh Oh-oh Ooh, ooh, ooh-oh-ooh Hold me down So that I can feel the heat So that I can feel a different kind of sadness I don't want to leave unscathed Carve me with your sharpest knife, I'm ready for the pain Ooh, ooh, ooh-oh-ooh CUTTER: Just move his ribs so we can access for a right lobectomy.
MITRI: The cancer's about 5cm in diameter.
Okay.
Just hold that in place, please.
How's it going? LOU: Oh, he's holding his own.
You're lucky, Lou, witnessing this.
That's a rare cancer.
Worth writing up.
I tell you what, we can do it together.
I don't think I wanna do that.
- Why is that? - You know why.
Hold that in place, please.
Now, whatever the bloody hell has happened between you two, now, you keep it out of theatre.
Drainage tube.
Pulmonary vein? Divided.
- All out? - Yes.
I'll give the boy's mother the good news.
Well? There was an incident.
A misunderstanding.
- Sexual? - He Look, I don't want to know the details.
So, what are you going to do about it? I don't know yet.
Well, you could lodge a complaint, but then you'll be seen as a victim and you need to be seen as strong.
My advice? Suck it up.
You're big on suck.
Hey, drop the attitude and you be a little humble.
So Mitri touches you up? Christ, you laugh, you say no and you walk away.
You complain and you're gonna be hung out to dry, and he knows that.
It doesn't matter what they spout about gender equality because the boys' club ignore it.
The only way to win is for you to be so focused about what you want, you see nothing but the goal.
- So, what? - Write the paper up with him? You have to work out what you want, Lou.
Because you're either an asset or a liability, and no one wants to waste time on a liability.
Dr Steele, I've taken a sample of Kevin's blood and checked it for alcohol.
0.
52.
Should we be considering alcoholic cardiomyopathy? Yeah.
Read him the riot act and then discharge him.
Er do we have any responsibility in relation to his job? What, reporting responsibility? Yeah, well, he's a commercial airline pilot.
Clearly he drinks and flies.
Do you have evidence of that? His medical condition.
What about the passengers? Legally, he has a right to confidentiality.
But if he makes a mistake and people die We're not the police.
The airline industry has its own safety nets.
Now get onto it.
I need the bed.
I have two more suspected PCPs.
(SIREN WAILS) - Kevin - Shh.
Listen.
(DISTANT BEEPING) There are sounds a plane makes you can hear only at night.
Same as here.
Kevin, I have your results.
Looks like you may have alcoholic cardiomyopathy.
How did that happen, eh? Too many visits to Moscow.
Is it bad? If you want to fly.
But it can be reversed.
Cut out alcohol, eat well, exercise, and it may fix itself.
Kevin, you've really got to cut out the booze.
And you're gonna need some help.
- Look, AA have a great treatment - I'm not an alcoholic.
Well, your body is telling me that you have a problem.
Yeah, well, my body's lying.
ACE inhibitors, beta blockers and diuretics will help reduce the strain on your heart for now.
How often does the airline run cardiovascular tests on pilots? - Uh, once a year.
- When's the next one? Four months.
Well, you have till then to reverse this.
Because it will be picked up.
When I'm gone, you're gonna have to take better care.
Denial will only get you so far.
People in glass houses We're alike, you and I.
Mortal.
Unless you believe in reincarnation.
Only ever be one you.
And one you.
Thank God.
Don't leave.
(DOOR CLOSES) TANYA: (READS) "Despite the risks brought about "through a suppressed immune system, "the benefits to a patient receiving a transplant are immense, "both to the patient directly and the health system as a whole.
"The shortage of deceased donor organs means "the majority of patients rely on living donors.
"But what happens when the patient has no relative? "What is the legal situation "when an altruistic stranger decides to donate?" "Just such a donor who came to City West Public "had been turned down" "He insisted that he'd thought carefully about his gift "The ethics committee met "and decided that the first person on the list "would receive that kidney.
" I've got you, Frankie.
"The living donor transplant was performed on February 25, 2010.
"In a study of altruistic donors, none expressed regret.
"Many expressed enhanced happiness, "making their gifts truly extraordinary.
" (APPLAUSE) STEELE: Well done! Dad, it was Frankie's paper.
(LAUGHS) You'd think she'd had a transplant herself.
How am I doing? As a patient? Appalling.
But your paper went down well.
(THERMOMETER BEEPS) Your temperature's back to normal.
Did you not come to consult me because of my own situation? No, of course not.
Well, you need to take a term off.
- I can't take a term off.
- It's just a bloody term.
(SIGHS) You know you are the best, and there is no one that I admire more than you.
But ask yourself why you don't want people to know that you have brain cancer.
When you're really sick, people shun you, and they they just stop seeing you as one of the living.
You're a stubborn bastard, Frankie.
Oh, and you're not? Four more days on IV, then oral.
You find patient zero yet? 'Cause I was thinking of crossover points.
Labs.
You know, people come in a few days before a consult for blood tests.
Have you checked bloods? (PHONE RINGS) Check the patient details of all the PCP positives against the dates they had bloods taken.
- Yeah? - You're a genius.
Well, I can't take the credit this time.
It was a random idea of Frankie's.
What are you up to, Tanya? About the thing in the bar I dreamed you propositioned me.
I dreamed I did something like that too.
How are you going with the RCA? We're just waiting on Mitri's statement.
CUTTER: Zoe Mendosa's heart operation.
The operation was dodgy.
What happened? Hey! Mrs Kamiran, what are you doing? Why this patient? She's gotten under your skin, huh? And what is this? What's going on? (SPEAKS ARABIC) Every second that that woman is here, someone else misses out.